| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
40,550 |
27,545 |
$2.97M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
20,818 |
15,645 |
$2.76M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,457 |
21,103 |
$1.75M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
11,380 |
8,375 |
$1.08M |
| 31231 |
|
5,447 |
4,184 |
$1.00M |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,210 |
1,075 |
$231K |
| 92557 |
|
8,082 |
5,638 |
$140K |
| 92567 |
|
13,976 |
10,452 |
$81K |
| 31575 |
|
1,454 |
909 |
$67K |
| 69210 |
|
8,075 |
5,152 |
$67K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
159 |
136 |
$37K |
| 95115 |
|
3,633 |
1,732 |
$32K |
| 31579 |
|
327 |
162 |
$32K |
| 92504 |
|
4,701 |
3,125 |
$29K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
300 |
261 |
$27K |
| 95117 |
|
2,865 |
1,236 |
$27K |
| 92588 |
|
2,631 |
1,738 |
$24K |
| 95024 |
|
41 |
40 |
$18K |
| 99223 |
Prolong inpt eval add15 m |
147 |
118 |
$17K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
38 |
37 |
$11K |
| 92582 |
|
128 |
128 |
$10K |
| 99243 |
|
50 |
40 |
$9K |
| 92550 |
|
2,626 |
1,606 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
222 |
111 |
$7K |
| 92540 |
|
47 |
39 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
178 |
142 |
$7K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
14 |
14 |
$5K |
| 92511 |
|
13 |
13 |
$3K |
| 92579 |
|
39 |
37 |
$1K |
| 69220 |
|
22 |
14 |
$834.11 |
| 70210 |
|
12 |
12 |
$207.54 |
| G0268 |
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing |
16 |
12 |
$66.25 |
| 92587 |
|
73 |
40 |
$15.03 |
| 99024 |
|
12 |
12 |
$0.00 |
| 92546 |
|
45 |
38 |
$0.00 |
| 92537 |
|
17 |
14 |
$0.00 |